Systematic and continuous collection, validation, analysis, and communication of patient data or information.
What is assessing?
100
Includes interpreting and analyzing patient data.
What is diagnosing?
100
Establish priorities and identify expected patient outcomes.
What is planning?
100
The purpose is to assist the patient in achieving valued health outcomes; promote health, prevent disease and illness, restore health, and facilitate coping with altering functioning.
What is implementing?
100
Used to measure how well the patient has achieved desired outcomes.
What is evaluation?
200
Performed shortly after the patient is admitted to a healthcare agency or service.
What is initial assessment?
200
Focuses on unhealthy responses to health and illness
What is nursing diagnosis?
200
Establishes priorities based on basic human needs.
What is Maslow's Hierarchy of Needs?
200
Patient and patient visitors, equipment, environment, and personnel.
What is ways to organize resources?
200
The level of performance accepted and expected by the nursing staff or health team members.
What is standards?
300
Performed to gather data about a specific problem that has already been identified.
What is focused assessment?
300
The grouping of patient data or cues that points to the existence of a patient health problem.
What is data cluster?
300
Outcomes that are usually more that a week.
What is long term outcomes?
300
An activity to be completed before implementing any nursing action.
What is reassess the patient to determine whether the action is still needed?
300
Met, partially met, or not met.
What is documentation used to document outcomes?
400
Data that is observable and measurable that can be seen, heard, or felt.
What is objective data?
400
Comprise a cluster of actual or risk nursing diagnoses that are predicted to be present because of a certain event or situation.
What is syndrome nursing diagnoses?
400
Subject, Verb, Conditions, Performance criteria, and Target time.
What is components of a measurable outcome?
400
Nursing guidelines should be consistent with this.
What is standards of care and legal and ethical guides to practice?
400
Focuses on measurable changes in the health status of the patient or the end results of nursing care.
What is outcome evaluation?
500
The primary source of data collection.
What is the patient?
500
Includes the problem and etiology.
What is a two-part nursing diagnosis statement.
500
Treatments initiated by other providers such as pharmacists, respiratory therapists, or physician assistants.
What is collaborative interventions?
500
This builds a greater likelihood of success in clinical practice.
What is a variety of skilled nursing interventions?
500
The commitment and approach used to continuous improve every process in every part of an organization with the intent of meeting and exceeding customer expectations and outcomes.